Open Latarjet Procedure Using Double Suture-Button Fixation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• The Latarjet procedure is a common surgical treatment for recurrent anterior shoulder instability with bone loss.
• Traditional screw fixation in the Latarjet procedure carries risks of complications like screw penetration, glenoid damage, and hardware failure.

Purpose of the Study:

• To describe a modified open Latarjet technique utilizing suture-button fixation.
• To offer a safer alternative to screw fixation by reducing the risk of postoperative complications.
• To facilitate the adoption of suture-button fixation in open Latarjet procedures without specialized instrumentation.

Main Methods:

• An open Latarjet technique was modified to incorporate suture-button fixation.
• The modification was designed for compatibility with existing open surgical approaches.
• No additional specialized instrumentation beyond standard open surgical tools is required.

Main Results:

• The modified technique aims to mitigate risks associated with screw fixation, such as intra-articular penetration and impingement.
• Suture-button fixation offers a potentially safer alternative for securing the coracoid graft.
• The technique is designed for straightforward integration into current open Latarjet procedures.

Conclusions:

• This modified open Latarjet technique with suture-button fixation presents a viable option to enhance patient safety.
• It provides a practical transition for surgeons accustomed to open Latarjet procedures.
• The method potentially reduces the incidence of screw-related complications in treating shoulder instability.